| NPI | 1215046339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 2336) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC APN2336) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN2336) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-11-01 |